NPI | 1053670372 |
---|---|
Doing Business As | SACKS WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | HYMAN DAVID SACKS Director 760-779-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A4920) |
Enumeration Date | 2012-05-07 |
Last Update Date | 2012-09-24 |